Novomix Flekspen 30 na cikin insulin ne da ke dauke da kudade. Amfanin sa shine tsarin matakai biyu. Ana nuna wannan kayan aikin ta hanyar kunkuntar, mafi ƙarancin ƙuntatawa yayin amfani.
Sunan kasa da kasa mai zaman kansa
Insulin cire kashi biyu
Novomix Flexspen 30 ana saninsa ta hanyar kunkuntar, mafi ƙarancin ƙuntatawa yayin amfani.
ATX
A10AD05
Saki siffofin da abun da ke ciki
Kuna iya siyar da miyagun ƙwayoyi a matsayin nau'i na dakatarwar da aka shirya don jiko na insulin ƙananan ƙwayar cuta. Ana fitar da samfurin a cikin alƙalin sirinji 3 ml. Thearfafa yawan aiki a cikin 1 ml na miyagun ƙwayoyi shine 100 IU. Jimlar adadin wakili a cikin alkalami shine 300 IU.
Abubuwan da ke aiki shine insulin kewayawa. Wannan abun yana cikin siffofi guda biyu: mai narkewa, a cikin nau'ikan juzu'in lu'ulu'un. Yawancin abubuwan su bi da bi 30 da 70%. Zaku iya siyan samfurin a cikin kayan kunshin da ke kunshe da silsila 5.
Aikin magunguna
Abun da ke cikin miyagun ƙwayoyi ya haɗa da analog na insulin hormone na mutum. Wannan abu ne mai kashi biyu. Insulin yana nuna sakamako mai ɗan gajeren lokaci. A kowane yanayi, matakai daban-daban na dakatarwa suna da hannu. Hanyar aiwatar da aiki mai aiki yana dogara ne akan ikon haɓaka ƙimar aikin glucose. Ana samun sakamako da ake so yayin da homonin ya yi hulɗa tare da masu karɓar ƙwayoyin cuta daban-daban (mai, mai tsoka). A lokaci guda, akwai raguwa cikin aiki na glucose a cikin hanta. Hakanan an lura da kunnawa kan aiwatar da lipo- da glycogenogenesis.
An fito da miyagun ƙwayoyi a cikin nau'i na dakatarwa a cikin alƙalin sirinji 3 ml.
A cikin yanayin molarity, insulin aspart ya dace da insulin mutum. Koyaya, saboda kasancewar abu mai narkewa a cikin abubuwan da ke cikin sa, ingantaccen sakamako yana hanzarta. Abunda yake aiki zai baka damar samun sakamakon da ake so a cikin mintuna 10-20 na farko bayan allurar subcutaneous. A gefe guda, saboda -a'idodin lu'ulu'u kamar lu'ulu'u, ana inganta sakamako na tsawan lokaci. A wannan halin, mafi girman matakan insulin ya kasance a cikin farkon 4 hours bayan allurar.
Sakamakon sakamako yana kiyaye tsawon sa'o'i 24. Dangane da sakamakon binciken, ana iya kammala cewa shan maganin a cikin tambaya sau biyu a rana (bayan cin abinci) yana ba ku damar iya sarrafa matakin glucose mafi kyau a cikin jini. An lura cewa yin amfani da insulin aspart ba ya haifar da raguwa mai yawa a cikin haemoglobin.
Bugu da kari, an gano cewa saboda tsawaita amfani da insulin aspart, hadarin bunkasa hawan jini a cikin dare, kazalika da mummunan nau'in wannan yanayin cututtukan, yana raguwa. Ba a yi nazarin magungunan kai tsaye ba don maganin tsofaffi marasa lafiya. Koyaya, an tsaida shi kai tsaye cewa manyan alamura su cigaba da zama daidai da na matasa.
Pharmacokinetics
Tsarin ƙwayar insulin mai narkewa wanda ke cikin ƙwaƙwalwar ƙwaƙwalwa yana la'akari yana haɓaka da sauri lokacin da aka kwatanta abubuwan da ke cikin pharmacokinetic tare da insulin ɗan adam mai narkewa. Saboda wannan, zaku iya samun kyakkyawan sakamako tare da hypoglycemia na ɗan gajeren lokaci. Idan muka yi la’akari da kaddarorin abubuwan da ke da kamannin lu'ulu'u, to yawan ƙarfin shansu ba ya bambanta da aikin insulin ɗan adam na NPH.
Yin amfani da Novomix Flekspen don cututtuka na hanta da kodan ba ya haifar da bayyanar bayyanar cututtuka mara kyau.
Matsakaicin matakin maida hankali ne na ƙwaƙwalwar ƙwayar cuta ta jiki ya kai sauri idan aka kwatanta da insulin ɗan adam. A cikin mafi yawan marasa lafiya, insulin aspart ya kai mafi girman matakan a cikin mintuna 60 zuwa 55. Rabin rayuwar shi ya bambanta daga 8 zuwa 18 hours, wanda ke shafar yanayin jikin, kasancewar wasu cututtukan. Tsawon lokacin da miyagun ƙwayoyi ya dogara da tsananin hauhawar jini, kashi na insulin.
Ba a yi amfani da amfani da miyagun ƙwayoyi don maganin renal mai rauni da aikin hepatic ba. Koyaya, a aikace (a cikin lura da marasa lafiya da irin wannan cututtukan) an gano cewa ƙananan canji a cikin adadin ƙwayoyi a cikin cututtukan waɗannan gabobin ba ya haifar da bayyanar bayyanar mara kyau.
Alamu don amfani
An wajabta magungunan a matsayin magani mai zaman kanta ko, tare da wasu magunguna na hypoglycemic don irin waɗannan cututtukan:
- nau'in ciwon sukari na 1 na mellitus (yana dogara da insulin);
- type 2 ciwon sukari mellitus (shi ma insulin-mai zaman kansa ne).
An wajabta insulin don hyperglycemia.
Contraindications
Untatawa game da amfani da miyagun ƙwayoyi kaɗan. Ba'a amfani dashi idan akayi haɓaka mummunan halayen mutum ga kowane ɓangaren abun ciki a cikin samfurin. Wani contraindication shine hypoglycemia. A wannan yanayin, gabatarwar kashi na insulin zai haifar da raguwa mafi yawa a cikin glucose.
Tare da kulawa
Kungiyar rukuni na contraindications sun hada da nakasa aikin na renal, ciki, tsohuwar mai haƙuri.
Yadda ake ɗaukar Novomix Flekspen?
Don kauce wa ci gaban rikitarwa, musamman babban cin zarafin maganin ƙwayoyin carbohydrate, ana gudanar da maganin ne kawai. Adadin kudaden ya dogara da shekaru, yanayin mai haƙuri, da sauran cututtuka. Ana gudanar da maganin a ƙarshen rana (lokaci ɗaya) ko kuma an raba wannan adadin zuwa allurai 2. An tsara raka'a 12 kowace rana (idan marassa lafiya bai taɓa karbar maganin insulin ba).
Hanyar hadawa ta insulin
Ganin cewa kayan aikin da ake tambaya shine kashi biyu, dole ne ayi shiri kafin ayi amfani dashi. Dangane da umarnin, an shigar da katun a cikin sirinji na sirinji, muddin ana san maganin shine yanayin zazzabi. Ana sanya shi a cikin jirgin sama na kwance, sannan a birgima tsakanin tafin hannu har zuwa sau 10 a cikin daban-daban kwatance (baya da gaba). A mataki na gaba, ana motsa katun a cikin jirgin sama a tsaye: a cikin baka, tare da ball na ciki yana mirgine daga wannan ƙarshen kwandon zuwa ɗayan.
Matakan da aka bayyana an maimaita su har sai mafita ya zama girgije kuma ya zama fari. Yakamata a nuna shi da daidaiton daidaituwa. A ƙarshen dukkan manipulations, zazzabi na wakili ya tashi dan kadan (zuwa zafin jiki na ɗaki) kuma ana iya shigar da shi nan da nan.
Yaya za a yi amfani da alkalami?
Hanyar amfani da miyagun ƙwayoyi ta bayyana ta likita. Bayan an saka shi, allura ya kamata ya kasance cikin kyallen don na sakan 6 na gaba. Lokacin da aka cire shi, zaku iya cire hannun daga maɓallin akan alƙalin sirinji. Ana iya cire allura, saboda haka ana sa sabon sabani kafin kowane allura na gaba. Wajibi ne a cire shi daga alkairin sirinji bayan allura. Ba a yin amfani da kicin ɗin kwantar da insulin ba.
Wasu sharudda game da amfani da sirinji na alkalami:
- lokacin shigar da sabon allura, bai kamata a aika da mayafin kariya a cikin kwandon shara nan da nan ba, zai zo mai amfani mai zuwa nan gaba;
- kafin amfani da sirinji, ana yin dubawa ta yanayin aiki: ta amfani da zaɓin sashi, an saita ƙimar da ake so (mafi ƙaranci, alal misali, raka'a 2), sannan an kunna na'urar tare da allura sama kuma ana yin gwajin inulin, don yin wannan, danna maɓallin;
- idan yayin binciken an gano cewa insulin bai fito daga allura ba, dole ne a maye gurbin alkairin sirinji;
- Kafin gabatarwar abu, an saita mai za ~ en akasin 0;
- ba za a iya amfani da ragowar don sauya isasshen insulin ba;
- bayan amfani da sirinji na alkalami, ya zama dole a cire allura, kuma saboda wannan, an saka hula a farko, sannan a kwance allurar.
Sakamakon sakamako na Novomix Flekspen
Retinopathy, haɓaka akan asalin ciwon sukari mellitus, lipodystrophy.
Daga tsarin rigakafi
Anaflactoid halayen.
Tsarin juyayi na tsakiya
Neuropathy (a cikin lokacin m), tare da raɗaɗi.
Daga tsarin numfashi
Akwai gazawar numfashi, wanda shine sakamakon halayen anaphylactoid (yana haɓaka asalin kumburi).
A ɓangaren fata
Fata na fata a daidai lokacin allura na insulin, da kumburi kadan, hematoma, redness, itching, kumburi.
Daga tsarin kare jini
Da keɓaɓɓen asalin cututtukan jini, urinary ɓarayin yana haɓaka (yawan buƙatun don yin urinate yana ƙaruwa).
Daga gefen metabolism
Hypoglycemia.
Cutar Al'aura
Urticaria.
Umarni na musamman
Rashin wannan magani ko kuma kashin da aka bayar wanda bai dace ba (karancin insulin a cikin nau'in 1 na ciwon sukari mellitus) na iya haifar da cututtukan jini, wani lokacin ketoacidosis yana bayyana akan wannan.
Gabatarwar wani adadin magunguna shima yana bada gudummawa ga ci gaban hawan jini. Wani sakamako mai kama da wannan ana samu saboda tasirin ƙara yawan aiki a jiki, kamar kuma idan mara lafiya ya tsallake abinci.
Yi amfani da tsufa
Za'a iya amfani da miyagun ƙwayoyi, amma tare da taka tsantsan. Babu buƙatar sake tarawa da yawan insulin ɗin.
Adana Novomix Flekspen ga Yara
Babu wani bayani game da amincin miyagun ƙwayoyi da aka tambaya yayin kula da marasa lafiya waɗanda shekarunsu ba su wuce 18 ba. Koyaya, yana jagorantar sakamakon sakamakon binciken sakamakon tasirin insulin akan yara na yara daban-daban, an lura cewa wasu alamomi suna canzawa (alal misali, lokacin zuwa mafi girman maida hankali). Wannan yana nuna buƙatar mutum ƙaddara yawan sashin insulin. An yarda da amfani da maganin don magance marasa lafiya waɗanda suka girmi shekaru 6.
Yi amfani da lokacin daukar ciki da lactation
Yakamata a yi taka tsantsan yayin aikin jiyya lokacin haihuwar yaro. Babu isasshen bayani game da amincin miyagun ƙwayoyi. Koyaya, a aikace an gano cewa a lokacin daukar ciki da kwayar da ake tambaya ba ya haifar da ci gaban rikice-rikice. A cikin watanni 1, bukatun jikin mutum na insulin ya ragu, sannan sannu a hankali yana ƙaruwa. Bayan haihuwa, asalin hormonal ya kai matsayin da yake kafin daukar ciki.
Yayin lactation, maganin da aka ɗauka ya halatta ayi amfani dashi.
Doaukar hoto na Novomix Flekspen
Ba a kafa shi da abin da allurai suke tasowa ba. A kowane yanayi, yawan maganin yana da bambanci, wanda ya dogara da dalilai masu alaƙa. Hypoglycemia yana haɓaka hankali, wanda ke sauƙaƙe ta amfani da yau da kullun na adadin adadin ƙwayoyi.
Mummunan bayyanar cututtuka na wannan yanayin cutar ana cire su ta hanyar ɗaukar samfurin da ke da sukari. Idan bayyanannun sun fi ƙarfin, ana bada shawarar glucose mai narkewa. Wani madadin shine allurar glucagon (intramuscularly). Idan wannan ma'aunin bai bada sakamakon da ake so ba, yi allurar dextrose.
Yin hulɗa tare da wasu kwayoyi
Abubuwan da ke biyo baya da wakilai suna ba da gudummawa ga rage matakan glucose:
- sauran magunguna waɗanda aka tsara don daidaita al'ada na glycemia;
- kwayoyi waɗanda ke hana aikin ACE;
- beta-blockers waɗanda ba su da halin zaɓi na zaɓi;
- anabolics;
- maganin tetracycline;
- Ketoconazole;
- Mebendazole;
- Theophylline;
- Pyridoxine;
- salicylates;
- samfuran dauke da lithium.
Magungunan da ke cikin tambaya ana nuna su ta hanyar ƙananan tasiri a hade tare da heparin, hormones system hormones, thiazide group diuretics, maganin tricyclic antidepressants, Danazol, Morphine, da dai sauransu.
A ƙarƙashin tasirin beta-blockers, alamun raguwa a cikin matakan glucose sun zama ƙasa da faɗi.
Amfani da barasa
Abubuwan da ke dauke da giya suna aiki a jiki ba tare da la’akari da abin da ya sa gaba da amfani da insulin ba. Matsayi na glycemia na iya ƙaruwa da raguwa, wanda yanayin cutar ya shafi da kuma kasancewar wasu cututtukan.
Analogs
Kai tsaye analogues na miyagun ƙwayoyi da ake tambaya sune:
- Novomiks Penfill Flekspen 30;
- Novorapid Flekspen.
Ana samun magungunan a cikin hanyar warwarewa, dauke da insulin. Kuna iya siyan su ta hanyar sirinji. Yana nufin iri ɗaya ne ga nau'in abu mai aiki, sashi. Don haka, suna aiki akan manufa guda. A cikin alƙawarin ya kamata la'akari da alamun, contraindications. Ganin irin sifofin wadannan magungunan, ana iya tsammanin cewa suma zasu yi hanzari. Sauran kayayyakin aikinsu na iri daya ne.
Magunguna kan bar sharuɗan
Kayan aiki magani ne.
Zan iya saya ba tare da takardar sayan magani ba?
A'a, kuna buƙatar samun alƙawarin likita don siyan maganin.
Farashi don Novomix Flexspen
Matsakaicin matsakaici shine 1850 rubles.
Yanayin ajiya na miyagun ƙwayoyi
Yayi shawarar zazzabi + 2 ... + 8 ° С. Matsakaicin da ya fi dacewa shine firiji, amma ba kusa da injin daskarewa ba. Ya kamata a adana alkalami da ya yi amfani da shi a zazzabi a ɗakin, amma bai wuce mako 4 ba. Dole waje a cikin gidaje dole ne a rufe shi da katangar kariya.
Ranar karewa
Bai kamata a yi amfani da maganin ba bayan shekaru 2 daga ranar da aka sake shi.
Mai masana'anta
Novo Nordisk (Denmark).
Ya kamata a adana alkalami da ya yi amfani da shi a zazzabi a ɗakin, amma bai wuce mako 4 ba.
Ra'ayoyi game da Novomix Flekspen
Vera, ɗan shekara 39, Moscow
Magunguna yana da sauri yana taimakawa wajen dawo da matakan glucose. A halin da nake ciki, bayyanannun bayyanannun ba su faru ba. Ina shan magani na dogon lokaci. Abinda kawai bana so shine farashin.
Vladlena, shekara 34, Saratov
Ina da insulin-da ke fama da ciwon sukari mellitus. Ina lokaci-lokaci canza tsarin, gwada magunguna daban-daban kamar yadda likita ya umarta. Ban faɗi abin da ba daidai ba game da Novomix Flekspen: yana yin aiki daidai, kamar analogues, farashin na iya zama ƙasa, in ba haka ba kayan aiki ne mai kyau.
